Provider Demographics
NPI:1396960332
Name:ALVARADO, MELISSA ANNE (MS,CCC-SLP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:KEARNEY
Other - Last Name:ZILBERSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2506 PALMER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-1327
Mailing Address - Country:US
Mailing Address - Phone:443-643-1000
Mailing Address - Fax:443-643-1802
Practice Address - Street 1:500 UPPER CHESAPEAKE DR
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4324
Practice Address - Country:US
Practice Address - Phone:443-843-1000
Practice Address - Fax:443-643-1810
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02522235Z00000X
FLSA17668235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist